Organization Active NPI

Cardiovascular Consultants, PC

  • Cardiovascular Disease Physician
  • Lawrence, KS
National Provider Identifier
1063593796
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR CONSULTANTS, PC
Practice address
330 Arkansas St
Suite 202
Lawrence, KS 66044-1335
Phone
(785) 841-3636
Fax
(816) 756-3645
NPI assigned
Oct 18, 2006
Last updated
Aug 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Samms
Title
Executive Director
Phone
(816) 931-1883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

330 Arkansas St
Suite 202
Lawrence, KS 66044-1335

Mailing address

4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-3217
Phone (816) 931-1883

Other identifiers 2

IdentifierTypeStateIssuer
016778OtherKSKS BCBS GROUP #
00264010OtherMOMO BCBS/KC GRP #

National Provider Directory

National Provider Directory
Tax ID family
Cardiovascular Consultants PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1063593796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD",
            "address_2": "SUITE 2000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113217",
            "telephone_number": "816-931-1883",
            "fax_number": "816-756-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ARKANSAS ST",
            "address_2": "SUITE 202",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441335",
            "telephone_number": "785-841-3636",
            "fax_number": "816-756-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "SAMMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-931-1883"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS BCBS GROUP #",
            "identifier": "016778",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BCBS/KC GRP #",
            "identifier": "00264010",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.